Conjunctivitis: Difference between revisions
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*Rarely painful; more irritated
*Rarely painful; more irritated


===Types===
==Types==
*[[Viral conjunctivitis]]
{{Conjunctivitis DDX}}
**[[Herpes Zoster Ophthalmicus]]
**[[HSV Conjunctivitis]]
*[[Bacterial conjunctivitis]]
**[[Gonorrheal Conjunctivitis]]
**[[Chlamydia Conjunctivitis]]
*[[Allergic conjunctivitis]]
*[[Caustic Keratoconjunctivitis]]
 
==Differential Diagnosis==
{| class="wikitable sortable"
|+ [[Conjunctivitis]]
|-
! scope="col" | ''' '''
! scope="col" | '''[[Bacterial conjunctivitis|Bacterial]]'''
! scope="col" | '''[[Viral conjunctivitis|Viral]]'''
! scope="col" | '''[[Allergic conjunctivitis|Allergic]]'''
 
|-
| Bilateral||50%||25%||Mostly
|-
| Discharge||Mucopurulent||Clear, Watery||Cobblestoning, none
|-
| Redness||Yes||Yes||Yes
|-
| Pruritis||Rarely||Rarely||Yes
|-
| Additional||Tx: Abx||Tx: Hygiene||Seasonal
|}


==Treatment==
==Treatment==

Revision as of 15:44, 26 January 2015

Background

  • Most common cause of acute red eye
  • Viral infection is usual etiology
  • Injected conjunctiva w/ perilimbal sparing
  • Rarely painful; more irritated

Types

Conjunctivitis Types

Treatment

  • Viral infections - most common cause of conjunctivitis, but difficult to differentiate viral from bacterial
  • Many clinicians treat all presentations as bacterial conjunctivitis
    • Eye redness, lid swelling, crusting of the eye in the morning and drainage
    • Pain, loss of vision and photophobia should not be present.
  • Ointments - soothing effect
    • Interfere with vision
  • Drops - no interference with vision.
  • Corticosteroids and eye patching - exacerbate the infections


See Also

Source

  • Mahmood, Narang. Diagnosis & management of acute red eye. Emerg Med Clin N Am 2008;26
  • Tintinalli
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